The Wealth and Health The Wealth and Health of the Delta of the - - PowerPoint PPT Presentation

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The Wealth and Health The Wealth and Health of the Delta of the - - PowerPoint PPT Presentation

Nov 22, 2023 118 likes •699 views

The Wealth and Health The Wealth and Health of the Delta of the Delta Arthur G. Cosby Arthur G. Cosby Professor and Director Professor and Director Social Science Research Center Social Science Research Center Mississippi State University

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The Wealth and Health

  • f the Delta

The Wealth and Health

  • f the Delta

Arthur G. Cosby

Professor and Director Social Science Research Center Mississippi State University May 27, 2005

Arthur G. Cosby

Professor and Director Social Science Research Center Mississippi State University May 27, 2005

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SSRC

Social Science Research Center Mississippi State University

In 1992 A Social and Economic Portrait of the Mississippi Delta In 1992 A Social and Economic Portrait of the Mississippi Delta

Edited by: Arthur G. Cosby Mitchell W. Brackin

  • T. David Mason

Eunice R. McCulloch Edited by: Arthur G. Cosby Mitchell W. Brackin

  • T. David Mason

Eunice R. McCulloch

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SSRC

Social Science Research Center Mississippi State University

The Project had a Substantial Delta State University Presence The Project had a Substantial Delta State University Presence

  • Mr. Hugh Smith
  • Dr. Kent Wyatt
  • Dr. Frank Allen Dennis
  • Dr. Reid Jones
  • Dr. John Thornell
  • Dr. Gene Hamon
  • Dr. Larry Hailey
  • Dr. W. Ross Story
  • Mr. Hugh Smith
  • Dr. Kent Wyatt
  • Dr. Frank Allen Dennis
  • Dr. Reid Jones
  • Dr. John Thornell
  • Dr. Gene Hamon
  • Dr. Larry Hailey
  • Dr. W. Ross Story
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SSRC

Social Science Research Center Mississippi State University

Chapter 1 My Delta and Yours?

Willie Morris

Chapter 1 My Delta and Yours?

Willie Morris

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SSRC

Social Science Research Center Mississippi State University

“No matter what the future brings, it will always be a place where the land, the soil, with all that this implies in human intercourse, are prized over all else. The Mississippi Delta will be the last place on earth to be paved over.”

Willie Morris A Social and Economic Portrait of the Mississippi Delta 1992

“No matter what the future brings, it will always be a place where the land, the soil, with all that this implies in human intercourse, are prized over all else. The Mississippi Delta will be the last place on earth to be paved over.”

Willie Morris A Social and Economic Portrait of the Mississippi Delta 1992

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SSRC

Social Science Research Center Mississippi State University

Chapter 19 Framing the Future: Views on the Future of the Mississippi Delta

Arthur G. Cosby

Chapter 19 Framing the Future: Views on the Future of the Mississippi Delta

Arthur G. Cosby

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SSRC

Social Science Research Center Mississippi State University

Major Themes Major Themes

  • Global trend toward free market,

decentralization and democratic solutions

  • Increasing international/global competition
  • Market based approaches to social based

problems – awareness of the limits of government

  • Increased concern for environmental quality
  • A national shift from a biracial to multi-ethnic

society

  • Global trend toward free market,

decentralization and democratic solutions

  • Increasing international/global competition
  • Market based approaches to social based

problems – awareness of the limits of government

  • Increased concern for environmental quality
  • A national shift from a biracial to multi-ethnic

society

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SSRC

Social Science Research Center Mississippi State University

A Sixth Theme to be Added Tonight: A Sixth Theme to be Added Tonight:

The Wealth and Health

  • f the Delta

The Wealth and Health

  • f the Delta
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SSRC

Social Science Research Center Mississippi State University

An Inquiry into the Nature and Causes of the Wealth of Nations 1776 Adam Smith An Inquiry into the Nature and Causes of the Wealth of Nations 1776 Adam Smith

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SSRC

Social Science Research Center Mississippi State University

My Nominee for the Noble Prize in Economics (if I could) My Nominee for the Noble Prize in Economics (if I could)

David E. Bloom, Ph.D.

Clarence James Gamble Professor of Economics and Demography Department of Population and International Health Harvard University

David E. Bloom, Ph.D.

Clarence James Gamble Professor of Economics and Demography Department of Population and International Health Harvard University

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SSRC

Social Science Research Center Mississippi State University

The Wealth and Health of Nations The Wealth and Health of Nations

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Social Science Research Center Mississippi State University

Health and Income: Traditional View Health and Income: Traditional View

Health Health Income Income Capital Capital

Bloom Presentation

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SSRC

Social Science Research Center Mississippi State University

From Wealth to Health: One Part of the Story From Wealth to Health: One Part of the Story

  • Better nutrition
  • Better access to clean water
  • Better sanitation
  • More access to better health care
  • Better psycho-social resources
  • Better nutrition
  • Better access to clean water
  • Better sanitation
  • More access to better health care
  • Better psycho-social resources

Income Health

Bloom Presentation

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SSRC

Social Science Research Center Mississippi State University

Factors Affecting the Growth of Per Capita Income Include: Factors Affecting the Growth of Per Capita Income Include:

  • Education
  • Natural resource endowments
  • Policy and institutional environment
  • Stock of physical capital and infrastructure
  • Geography
  • Initial level of income per capita
  • To these factors we can add health
  • Education
  • Natural resource endowments
  • Policy and institutional environment
  • Stock of physical capital and infrastructure
  • Geography
  • Initial level of income per capita
  • To these factors we can add health

Bloom Presentation

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SSRC

Social Science Research Center Mississippi State University

Health to Wealth – Lots of Oomph! Health to Wealth – Lots of Oomph!

A 10-year gain in life expectancy translates into nearly 1 additional percentage point of annual income growth A 10-year gain in life expectancy translates into nearly 1 additional percentage point of annual income growth

Income Health

Bloom Presentation

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SSRC

Social Science Research Center Mississippi State University

Bloom’s Research Leads to Two Additional Questions Bloom’s Research Leads to Two Additional Questions

Can the Wealth, Health of Nations be expanded to: 1) The Wealth of Regions (sub-national) 2) The Wealth of Communities Can the Wealth, Health of Nations be expanded to: 1) The Wealth of Regions (sub-national) 2) The Wealth of Communities

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SSRC

Social Science Research Center Mississippi State University

Healthy and Unhealthy Places

An Ongoing Program of Research at the Social Science Research Center

Healthy and Unhealthy Places

An Ongoing Program of Research at the Social Science Research Center

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SSRC

Social Science Research Center Mississippi State University

Healthy and Unhealthy Places in America: Healthy and Unhealthy Places in America:

Average Years of Lost Life

(80 – Average Life Expectancy, 1990)

Source: U.S. Department of Health and Human Resources, HRSA Community Health Status Indicator Project

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SSRC

Social Science Research Center Mississippi State University

Persistence of Healthy and Unhealthy Places Persistence of Healthy and Unhealthy Places

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SSRC

Social Science Research Center Mississippi State University

1990 Average Life Expectancy

Years of Life 65.6 – 73.7 73.8 – 75.1 75.2 – 76.0 76.1 – 76.9 77.0 – 79.9

Source: 2000 Community Health Status Report (HRSA)

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SSRC

Social Science Research Center Mississippi State University

1997 Average Life Expectancy

Years of Life 65.1 – 74.2 74.3 – 75.5 75.6 – 76.5 76.6 – 77.5 77.6 – 80.9

Source: 2000 Community Health Status Report (HRSA)

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SSRC

Social Science Research Center Mississippi State University

2000 Average Life Expectancy

Years of Life 62.9 – 74.0 74.1 – 75.4 75.5 – 76.6 76.5 – 77.6 77.7 – 81.6

Source: 2000 Community Health Status Report (HRSA)

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SSRC

Social Science Research Center Mississippi State University

Figure 8: SpaceStat Map Figure 8: SpaceStat Map

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SSRC

Social Science Research Center Mississippi State University

Healthy & Unhealthy Places Migration Effects Healthy & Unhealthy Places Migration Effects

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SSRC

Social Science Research Center Mississippi State University

Research by Cossman et al. Research by Cossman et al.

  • Unhealthy places have low in-migration
  • Unhealthy places have low out-migration
  • Unhealthy places have low in-migration
  • Unhealthy places have low out-migration
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SSRC

Social Science Research Center Mississippi State University

Divergence

(National versus Unhealthy Places)

Divergence

(National versus Unhealthy Places)

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45 50 55 60 65 70 75 80 1900 1905 1910 1915 1920 1925 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2001

Year

All Races- Both Sexes

Life Expectancy at Birth, United States

Source: National Vital Statistics Reports, Vol. 52, No. 14

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Social Science Research Center Mississippi State University 30 35 40 45 50 55 60 65 70 75 80 1900 1905 1910 1915 1920 1925 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2001

Year

All Races- Both Sexes Black- Both Sexes

Life Expectancy at Birth, United States

Source: National Vital Statistics Reports, Vol. 52, No. 14

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Social Science Research Center Mississippi State University

800 900 1000 1100 1200 1300 1400

6 8

  • 7

7 1

  • 7

3 7 4

  • 7

6 7 7

  • 7

9 8

  • 8

2 8 3

  • 8

5 8 6

  • 8

9 9

  • 9

2 9 3

  • 9

5 9 6

  • 9

8 9 9

  • 1

Delta Metro Nation

Age Adjusted Mortality Rates

3-Year Averages 1968 – 2001 Age Adjusted Death Rate

Per 100,000 Population

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SSRC

Social Science Research Center Mississippi State University

3,752 3,214 4,244 4,204 5,178 4,856 4,855 5,745 6,477 7,026 7,351

3,000 3,500 4,000 4,500 5,000 5,500 6,000 6,500 7,000 7,500

6 8

  • 7

7 1

  • 7

3 7 4

  • 7

6 7 7

  • 7

9 8

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2 8 3

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5 8 6

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9 9

  • 9

2 9 3

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5 9 6

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8 9 9

  • 1

Delta Metro Minus Nation / 100,000 * Population

Additional Deaths in Delta Metro Area

3-Year Averages 1968 – 2001 Additional Number of Deaths

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SSRC

Social Science Research Center Mississippi State University

800 900 1000 1100 1200 1300 1400

6 8

  • 7

7 1

  • 7

3 7 4

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6 7 7

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9 8

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2 8 3

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5 8 6

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9 9

  • 9

2 9 3

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5 9 6

  • 9

8 9 9

  • 1

Delta Non-Metro Nation

Age Adjusted Mortality Rates

3-Year Averages 1968 – 2001 Age Adjusted Death Rate

Per 100,000 Population

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SSRC

Social Science Research Center Mississippi State University

70 80 90 100 110 120 130 140 150 160 170 180

6 8

  • 7

7 1

  • 7

3 7 4

  • 7

6 7 7

  • 7

9 8

  • 8

2 8 3

  • 8

5 8 6

  • 8

9 9

  • 9

2 9 3

  • 9

5 9 6

  • 9

8 9 9

  • 1

Delta Non-Metro Minus Nation

Difference in Age Adjusted Mortality Rates

3-Year Averages 1968 – 2001 Age Adjusted Death Rate

Per 100,000 Population

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SSRC

Social Science Research Center Mississippi State University

3,721 3,887 4,095 3,712 3,382 3,832 4,228 5,618 6,473 7,673 8,321

3,000 3,500 4,000 4,500 5,000 5,500 6,000 6,500 7,000 7,500 8,000 8,500

6 8

  • 7

7 1

  • 7

3 7 4

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6 7 7

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9 8

  • 8

2 8 3

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5 8 6

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9 9

  • 9

2 9 3

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5 9 6

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8 9 9

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Delta Non-Metro Minus Nation / 100,000 * Population

Additional Deaths in Delta Non-Metro Area

3-Year Averages 1968 – 2001 Additional Number of Deaths

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SSRC

Social Science Research Center Mississippi State University

More Questions than Answers More Questions than Answers

  • Are we dealing with a temporary or

sustained trend?

  • What role does racial disparity play?
  • What would an analysis of causes of death

tell us about the trend?

  • Are we dealing with a temporary or

sustained trend?

  • What role does racial disparity play?
  • What would an analysis of causes of death

tell us about the trend?

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1985

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1986

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1987

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1988

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1989

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1990

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1991

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1992

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1993

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1994

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1995

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1996

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1997

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1998

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 1999

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 2000

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Social Science Research Center Mississippi State University

Obesity Trends* Among U.S. Adults BRFSS, 2001

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Social Science Research Center Mississippi State University Source: Behavioral Risk Factor Surveillance System, CDC

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SSRC

Social Science Research Center Mississippi State University

“Obesity has roughly the same association with chronic health conditions as does 20 years of aging.” “ “Obesity has roughly the Obesity has roughly the same association with same association with chronic health conditions as chronic health conditions as does 20 years of aging. does 20 years of aging.”

Julie L. Gerberding, M.D., M.P.H. Julie L. Gerberding, M.D., M.P.H. Director, Centers for Disease Control and Prevention Director, Centers for Disease Control and Prevention

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SSRC

Social Science Research Center Mississippi State University

“The speed with which

  • besity has increased can be

explained by changes in society that have increased calorie intake and reduced energy expenditure.” “ “The speed with which The speed with which

  • besity has increased can be
  • besity has increased can be

explained by changes in explained by changes in society society that have increased that have increased calorie intake and reduced calorie intake and reduced energy expenditure. energy expenditure.”

Julie L. Gerberding, M.D., M.P.H. Julie L. Gerberding, M.D., M.P.H. Director, Centers for Disease Control and Prevention Director, Centers for Disease Control and Prevention

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SSRC

Social Science Research Center Mississippi State University

More Questions… More Questions…

  • Is the trend a consequence of the obesity

epidemic?

  • Is the trend the leading edge of a more

widespread problem for the United States?

  • What are the implications for the health

and wealth of the Delta Region?

  • Is the trend a consequence of the obesity

epidemic?

  • Is the trend the leading edge of a more

widespread problem for the United States?

  • What are the implications for the health

and wealth of the Delta Region?

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SSRC

Social Science Research Center Mississippi State University